Overdentures Supported by Mini or Conventional Implants-effect on Patient Satisfaction and Bone Resorption Rates. A Randomized Clinical Trial

Authors

  • Osama Ahmed Gaballa Department of Prosthodontics, Faculty of Oral and Dental Medicine, Fayoum University, Faiyum, Egypt
  • Hamdy Abo El Fotouh Hamed Department of Prosthodontics, Faculty of Oral and Dental Medicine, Cairo University, Giza, Egypt
  • Ahmed Emad Fayyad Department of Prosthodontics, Faculty of Oral and Dental Medicine, Cairo University, Giza, Egypt
  • Mohamed Marwan Rahhal Department of Prosthodontics, Faculty of Oral and Dental Medicine, Fayoum University, Faiyum, Egypt

DOI:

https://doi.org/10.3889/oamjms.2021.7126

Keywords:

Edentulous, Overdentures, Mini-implants, Bone expansion, Patient satisfaction, Bone height changes

Abstract

AIM: The aim of the study was to assess the difference between patient satisfaction and bone height changes of mini-implant supported overdentures in comparison with conventional implant after bone expansion technique.

METHODS: This randomized clinical trial contains 36 edentulous participants with thin mandibular ridges randomly divided to receive 2 mini-implants, or 2 conventional implants after ridge splitting, both treatments were done in the inter-forminal area of the anterior mandible. Then, the patients received mandibular overdentures with ball and socket attachments. At base line, after 6 and 12 months of loading the implants, patients’ satisfaction was evaluated using visual analog scale, in addition to bone height changes using Soredex DIGORA Optime Classic software.

RESULTS: There was statistically significant difference in the overall satisfaction between the mini-implants and the conventional implants group; the amount of bone height changes in the mini-implant group was statistically significant less than the conventional implant group at base line, 6 and 12 months.

CONCLUSION: Treatment with two mini-implants provides high level of satisfaction and less bone height changes in a follow-up period of 12 months in comparison to conventional implants after ridge expansion.

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References

Goodacre CJ. Implant overdentures: Their benefits for patients. Saudi J Med Med Sci. 2018;6(1):25-9. http://doi.org/10.4103/sjmms.sjmms_136_17 PMid:30787807 DOI: https://doi.org/10.4103/sjmms.sjmms_136_17

Thomason JM, Lund JP, Chehade A, Feine JS. Patient satisfaction with mandibular implant overdentures and conventional dentures 6 months after delivery. J Prosthet Dent. 2004;91(2):197. DOI: https://doi.org/10.1016/j.prosdent.2003.12.011

Ahn MR, An KM, Choi JH, Sohn DS. Immediate loading with mini dental implants in the fully edentulous mandible. Implant Dent. 2004;13(4):367-72. http://doi.org/10.1097/01.id.0000148560.65514.3d PMid:15591999 DOI: https://doi.org/10.1097/01.id.0000148560.65514.3d

Vi S, Pham D, Yian Y, Du M, Arora H. Mini-implant-retained overdentures for the rehabilitation of completely edentulous maxillae: A systematic review and meta-analysis. Int J Enviroment Res Public Health. 2021;18(8):4377-92. http://doi.org/10.3390/ijerph18084377 PMid:33924167 DOI: https://doi.org/10.3390/ijerph18084377

Scarano A, Murmura G, Carinci F, Lauritano D. Immediately loaded small-diameter dental implants: Evaluation of retention, stability and comfort for the edentulous patient. Eur J Inflamm. 2012;10(1):19-23.

Bassetti MA, Bassetti RG, Bosshardt DD. The alveolar ridge splitting/expansion technique: A systematic review. Clin Oral Implants Res. 2016;27:310-24. http://doi.org/10.1111/clr.12537 PMid:25586966 DOI: https://doi.org/10.1111/clr.12537

Mohammed S, Hamed H. Comparative study between conventional denture and bone expansion over denture in treatment of thin ridge. Egypt Dent J. 2012;2-8.

de Souza RF, Ribeiro AB, Vecchia MP, Costa L, Cunha TR, Reis AC, et al. Mini vs. standard implants for mandibular overdentures. J Dent Res. 2015;94(10):1376-84. http://doi.org/10.1177/0022034515601959 PMid:26294416 DOI: https://doi.org/10.1177/0022034515601959

Zygogiannis K, Aartman I, Parsa A, Tahmaseb A, Wismeijer D. Implant mandibular overdentures retained by immediately loaded implants: A 1-year randomized trial comparing the clinical and radiographic outcomes between mini dental implants and standard-sized implants. Int J Oral Maxillofac Implants. 2017;32(6):1377-88. http://doi.org/10.11607/jomi.5981 PMid:29140382 DOI: https://doi.org/10.11607/jomi.5981

Park JB. Ridge expansion with acellular dermal matrix and deproteinized bovine bone: A case report. Implant Dent. 2007;16(3):246-51. http://doi.org/10.1097/ID.0b013e3181237926 PMid:17846540 DOI: https://doi.org/10.1097/ID.0b013e3181237926

Misch CE. Dental Implant Prosthetics. St Louis, Missouri: Mosby Co.; 2005.

Singh S, Gupta A, Efros AA. Unsupervised discovery of mid-level discriminative patches. Lecture Notes in Computer Science, 7573 LNCS(PART 2); 2012. p. 73-86. DOI: https://doi.org/10.1007/978-3-642-33709-3_6

Pizolato R, Gavião M, Berretin-Felix G. Maximal bite force in young adults with temporomandibular disorders and bruxism. Braz Oral Res. 2007;21(3):278-83. http://doi.org/10.1590/s1806-83242007000300015 PMid:17710296 DOI: https://doi.org/10.1590/S1806-83242007000300015

Naseri R, Yaghini J, Feizi A. Levels of smoking and dental implants failure: A systematic review and meta-analysis. J Clin Periodontol. 2020;47(4):518-28. http://doi.org/10.1111/jcpe.13257 PMid:31955453 DOI: https://doi.org/10.1111/jcpe.13257

Solow RA. Simplified radiographic-surgical template for placement of multiple, parallel implants. J Prosthet Dent. 2001;85(1):26-9. http://doi.org/10.1067/mpr.2001.112793 PMid:11174674 DOI: https://doi.org/10.1067/mpr.2001.112793

Esposito M, Grusovin MG, Maghaireh H, Worthington HV. Interventions for replacing missing teeth: Different times for loading dental implants. Cochrane Database Syst Rev. 2013;2013:CD003878. PMid:23543525 DOI: https://doi.org/10.1002/14651858.CD003878.pub5

Lee JH, Frias V, Lee KW, Wright RF. Effect of implant size and shape on implant success rates: A literature review. J Prosthet Dent. 2005;94(4):377-81. http://doi.org/10.1016/j.prosdent.2005.04.018 PMid:16198176 DOI: https://doi.org/10.1016/j.prosdent.2005.04.018

Miyamoto Y, Fujisawa K, Takechi M, Momota Y, Yuasa T, Tatehara S, et al. Effect of the additional installation of implants in the posterior region on the prognosis of treatment in the edentulous mandibular jaw. Clin Oral Implants Res. 2003;14(6):727-33. http://doi.org/10.1046/j.0905-7161.2003.00958.x PMid:15015949 DOI: https://doi.org/10.1046/j.0905-7161.2003.00958.x

Bergendal T, Engquist B. Implant-supported overdentures: A longitudinal prospective study. Int J Oral Maxillofac Implants. 1998;13(2):253-62. PMid:9581412

Visser A, Raghoebar GM, Meijer HJ, Batenburg RH, Vissink A. Mandibular overdentures supported by two or four endosseous implants: A 5-year prospective study. Clin Oral Implants Res. 2005;16(1):19-25. http://doi.org/10.1111/j.1600-0501.2004.01085.x PMid:15642027 DOI: https://doi.org/10.1111/j.1600-0501.2004.01085.x

Thomason JM, Kelly SA, Bendkowski A, Ellis JS. Two implant retained overdentures a review of the literature supporting the McGill and York consensus statements. J Dent. 2012;40(1):22-34. http://doi.org/10.1016/j.jdent.2011.08.017 PMid:21911034 DOI: https://doi.org/10.1016/j.jdent.2011.08.017

Kurşun ÜB, Akan E. Radiographic determination of trabecular bone change in 2- and 4-implant–supported overdenture prostheses. Oral Surg Oral Med Oral Pathol Oral Radiol. 2021;131(3):364-70. http://doi.org/10.1016/j.oooo.2020.08.002 PMid:32859563 DOI: https://doi.org/10.1016/j.oooo.2020.08.002

Ribeiro AB, Vecchia MP, Cunha TR, Sorgini DB, Dos Reis AC, Muglia VA, et al. Short-term post-operative pain and discomfort following insertion of mini-implants for retaining mandibular overdentures: A randomized controlled trial. J Oral Rehabil. 2015;42(8):605-14. http://doi.org/10.1111/joor.12287 PMid:25765784 DOI: https://doi.org/10.1111/joor.12287

Bielemann AM, Marcello-Machado RM, Del Bel Cury AA, Faot F. Systematic review of wound healing biomarkers in peri-implant crevicular fluid during osseointegration. Arch Oral Biol. 2018;89:107-28. http://doi.org/10.1016/j.archoralbio.2018.02.013 PMid:29510331 DOI: https://doi.org/10.1016/j.archoralbio.2018.02.013

Lin CL, Wang JC, Ramp LC. Biomechanical response of implant systems placed in the maxillary posterior region under various conditions of angulation, bone density, and loading. Int J Oral Maxillofac Implants. 2008;23(1):57-64. PMid:18416413

Elsyad MA, Al-Mahdy YF, Fouad MM. Marginal bone loss adjacent to conventional and immediate loaded two implants supporting a ball-retained mandibular overdenture: A 3-year randomized clinical trial. Clin Oral Implants Res. 2011;23(4):496-503. http://doi.org/10.1111/j.1600-0501.2011.02173.x PMid:21504479 DOI: https://doi.org/10.1111/j.1600-0501.2011.02173.x

Jensen OT, Cullum DR, Baer D. Marginal bone stability using 3 different flap approaches for alveolar split expansion for dental implants a 1-year clinical study. J Oral Maxillofac Surg. 2009;67(9):1921-30. http://doi.org/10.1016/j.joms.2009.04.017 PMid:19686930 DOI: https://doi.org/10.1016/j.joms.2009.04.017

Jha N, Choi EH, Kaushik NK, Ryu JJ. Types of devices used in ridge split procedure for alveolar bone expansion: A systematic review. PLoS One. 2017;12(7):e0180342. PMid:28732054 DOI: https://doi.org/10.1371/journal.pone.0180342

Anitua E, Begona L, Orive G. Controlled ridge expansion using a two-stage split-crest technique with ultrasonic bone surgery. Implant Dent. 2012;21(3):163-70. DOI: https://doi.org/10.1097/ID.0b013e318249f50b

Kern M, Att W, Fritzer E, Kappel S, Luthardt RG, Mundt T, et al. Survival and complications of single dental implants in the edentulous mandible following immediate or delayed loading: A randomized controlled clinical trial. J Dent Res. 2018;97(2):163-70. DOI: https://doi.org/10.1177/0022034517736063

Palla ES, Karaoglani E, Naka O, Anastassiadou V. Soft denture liners’ effect on the masticatory function in patients wearing complete dentures: A systematic review. J Dent. 2015;43(12):1403-10. http://doi.org/10.1016/j.jdent.2015.09.005 PMid:26404406 DOI: https://doi.org/10.1016/j.jdent.2015.09.005

Gotfredsen K, Holm B. Implant-supported mandibular overdentures retained with ball or bar attachments: A randomized prospective 5-year study. Int J Prosthodont. 2000;13(2):125-30. PMid:11203620

Krennmair G, Seemann R, Fazekas A, Ewers R, Piehslinger E. Patient preference and satisfaction with implant-supported mandibular overdentures retained with ball or locator attachments: A crossover clinical trial. Int J Oral Maxillofac Implant 2012;27(6):1560-8. PMid:23189311

MacEntee MI, Walton JN, Glick N. A clinical trial of patient satisfaction and prosthodontic needs with ball and bar attachments for implant-retained complete overdentures: Three-year results. J Prosthet Dent. 2005;93(1):28-37. http://doi.org/10.1016/j.prosdent.2004.10.013 PMid:15623995 DOI: https://doi.org/10.1016/j.prosdent.2004.10.013

Cune M, Van Kampen F, van der BiltF B. Patient satisfaction and preference with magnet, bar-clip, and ball-socket retained mandibular implant overdentures: A cross-over clinical trial. Int J Prosthodont. 2005;18(5):99-105. PMid:15889656 DOI: https://doi.org/10.1016/j.prosdent.2005.05.014

Darós P, Carneiro VC, Siqueira AP, De-Azevedo-Vaz SL. Diagnostic accuracy of 4 intraoral radiographic techniques for misfit detection at the implant abutment joint. J Prosthet Dent. 2018;120(1):57-64. http://doi.org/10.1016/j.prosdent.2017.08.008 PMid:29150129 DOI: https://doi.org/10.1016/j.prosdent.2017.08.008

Zhang W, Carolyn P, Huynh K, Inga-Lill K, Leon L. Comparison of technique errors of intraoral radiographs taken on film v photostimulable phosphor (PSP) plates. Tex Dent J. 2012;129(6):586-96. PMid:22866414

Emami E, Heydecke G, Rompré PH, de Grandmont P, Feine JS. Impact of implant support for mandibular dentures on satisfaction, oral and general health-related quality of life: A meta-analysis of randomized- controlled trials. Clin Oral Implants Res. 2009;20(6):533-44. http://doi.org/10.1111/j.1600-0501.2008.01693.x PMid:19515032 DOI: https://doi.org/10.1111/j.1600-0501.2008.01693.x

Batisse C, Bonnet G, Bessadet M, Veyrune JL, Hennequin M, Peyron MA, et al. Stabilization of mandibular complete dentures by four mini implants: Impact on masticatory function. J Dent. 2016;50:43-50. http://doi.org/10.1016/j.jdent.2016.04.012 PMid:27151558 DOI: https://doi.org/10.1016/j.jdent.2016.04.012

Park JH, Lee JY, Shin SW. Treatment outcomes for mandibular mini-implant-retained overdentures: A systematic review. Int J Prosthodont. 2017;30(3):269-76. http://doi.org/10.11607/ijp.4929 PMid:28319212 DOI: https://doi.org/10.11607/ijp.4929

Kutkut A, Bertoli E, Frazer R, Pinto-sinai G, Fuentealba R, Studts J. A systematic review of studies comparing conventional complete denture and implant retained overdenture. J Prosthodont Res. 2018;62(1):1-9. http://doi.org/10.1016/j.jpor.2017.06.004 PMid:28666845 DOI: https://doi.org/10.1016/j.jpor.2017.06.004

Elsyad MA, Gebreel AA, Fouad MM, Elshoukouki AH. The clinical and radiographic outcome of immediately loaded mini implants supporting a mandibular overdenture. A 3-year prospective study. J Oral Rehabil. 2011;38(11):827-34. http://doi.org/10.1111/j.1365-2842.2011.02213.x PMid:21972846 DOI: https://doi.org/10.1111/j.1365-2842.2011.02213.x

Šćepanović M, Todorović A, Marković A, Patrnogić V, Miličić B, Moufti AM, et al. Immediately loaded mini dental implants as overdenture retainers: 1-Year cohort study of implant stability and peri-implant marginal bone level. Ann Anat. 2015;199:85-91. http://doi.org/10.1016/j.aanat.2013.12.005 PMid:24582754 DOI: https://doi.org/10.1016/j.aanat.2013.12.005

Carlsson L, Röstlund T, Albrektsson B, Albrektsson T, Brånemark PI. Osseointegration of titanium implants. Acta Orthop Scand. 1986;57(4):285-9. http://doi.org/10.3109/17453678608994393 PMid:3788488 DOI: https://doi.org/10.3109/17453678608994393

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Published

2021-11-12

How to Cite

1.
Gaballa OA, Hamed HAEF, Fayyad AE, Rahhal MM. Overdentures Supported by Mini or Conventional Implants-effect on Patient Satisfaction and Bone Resorption Rates. A Randomized Clinical Trial. Open Access Maced J Med Sci [Internet]. 2021 Nov. 12 [cited 2024 Jun. 17];9(D):300-13. Available from: https://oamjms.eu/index.php/mjms/article/view/7126

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